Kalli Christine Goodwin, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL 60032987 Issued in WA

Practice address

1850 Boyer Ave E
Boyer Children's Clinic
Seattle, WA 98112-2922

Phone

(206) 325-8477

Fax

(206) 323-1385

NPI assigned

Sep 5, 2008

Last updated

Feb 21, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kalli Christine Bollenbacher Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boyer Children's Clinic

  • Local Education Agency (LEA)
  • Seattle, WA
  • NPI 1760526388
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1023266723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 BOYER AVE E",
            "address_2": "BOYER CHILDREN'S CLINIC",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981122922",
            "telephone_number": "206-325-8477",
            "fax_number": "206-323-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 BOYER AVE E",
            "address_2": "BOYER CHILDREN'S CLINIC",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981122922",
            "telephone_number": "206-325-8477",
            "fax_number": "206-323-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "KALLI",
        "middle_name": "CHRISTINE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-05",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL 60032987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALLI",
            "last_name": "BOLLENBACHER",
            "middle_name": "CHRISTINE",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lindsey Walker Goodson, MA, LMFT
• Lucy Langdon Goodson
• Corley Patrish Goodwin, LMP
• Elizabeth K Goodwin, LICSW
• Emily Grogan Goodwin, LMHCA
• Natalie Goodwin, PHD
• Erica Jungwha Goos, LMHC
• Vanessa Goosen, PSYD
• Sarah Gootee, LMFTA, LMHCA
• Elizabeth Gootkind, MD

• Speech-Language Pathologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.